Individual
MS. JAMIE JOY LARSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
245D PROVIDER
Contact information
Practice address
5994 188TH ST W, FARMINGTON, MN 55024-7065
(651) 341-4195
Mailing address
5994 188TH ST W, FARMINGTON, MN 55024-7065
(651) 341-4195
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
1130763
MN
Other
Enumeration date
03/03/2026
Last updated
03/03/2026
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